OFFICE OF THE UNDER SECRETARY OF DEFENSE
4000 DEFENSE PENTAGON
WASHINGTON, D.C. 20301-4000

FED 12 «2016

RSONNEL AND
ADINESS

MEMORANDUM FOR SECRETARIES OF THE MILITARY DEPARTMENTS

CHAIRMAN OF THE JOINT CHIEFS OF STAFF

UNDER SECRETARIES OF DEFENSE

DEPUTY CHIEF MANAGEMENT OFFICER

CHIEF OF THE NATIONAL GUARD BUREAU

GENERAL COUNSEL OF THE DEPARTMENT OF DEFENSE

DIRECTOR, COST ASSESSMENT AND PROGRAM EVALUATION

INSPECTOR GENERAL OF THE DEPARTMENT OF DEFENSE

DIRECTOR, OPERATIONAL TEST AND EVALUATION

DEPARTMENT OF DEFENSE CHIEF INFORMATION OFFICER

ASSISTANT SECRETARY OF DEFENSE FOR LEGISLATIVE
AFFAIRS

ASSISTANT TO THE SECRETARY OF DEFENSE FOR PUBLIC
AFFAIRS

DIRECTOR, NET ASSESSMENT

DIRECTORS OF THE DEFENSE AGENCIES

DIRECTORS OF THE DOD FIELD ACTIVITIES

SUBJECT: Delegation of Authority to Prepay Costs of Emergency Health Care and Support
Services for Civilian Employees of the Department of Defense and their Authorized
Dependents Outside the United States, its Territories, and Possessions

Effective immediately, the heads of Department of Defense (DoD) Components, the
Office of the Chairman of the Joint Chiefs of Staff and the Joint Staff, the Combatant
Commands, the Office of the Inspector General of the Department of Defense, the Defense
Agencies, and the DoD Field Activities and all other organization entities (referred to
collectively as the “DoD Components”) are delegated the authority to prepay the costs of
emergency health care, including but not limited to the costs of medical evacuation and/or the
costs associated with medical treatment at a health care facility abroad, for a DoD civilian
employee of that Component, and the authorized dependents of that employee, assigned to, or
performing temporary duty, outside the United States, its territories and possessions. This
delegation is subject to the requirements of 10 U.S.C 1599b(c) and the Department of State
Foreign Affairs Manual, 16 FAM 520-524.

Heads of DoD Components may delegate this authority in writing to a level no lower
than the first General/Flag Officer or member of the Senior Executive Service in the employee’s
chain of command or supervision.

A Component’s use of the delegated prepayment authority contemplated above is
conditioned on execution by the affected employee of a debt acknowledgment and repayment
agreement for the total costs prepaid by the component on behalf of the employee or the


employee’s dependents. The debt acknowledgment and repayment agreement will provide for
the reimbursement, through payroll deduction from the employee’s future DoD civilian pay to
Component operation and maintenance accounts, of all costs prepaid by the Component on
behalf of the employee or the employee’s dependents. The debt acknowledgment and repayment
agreement will further provide that such repayments may be made by a third-party insurer and
that reflect the employee’s agreement to assign and transfer to the DoD Component any amounts
received by the employee from such an insurer, up to and including the total costs prepaid by the
Component.

Policy on this program will be incorporated into an appropriate DoD issuance that will
include procedural guidance for debt acknowledgment and repayment.

My point of contact is Ms. Taiwanna Smith, who may b
email at Taiwanna.r.smith.civ@mail.mil.

ached at 571-372-1642 or by

Brad Carson
Acting Principal Deputy